Abundant Life Therapy, LLC
NPI 1205314754ActiveOrganization· Counselor, Professional· Loveland, CO
Counselor, Professional in Loveland, Colorado, registered in NPPES in August 2018. The authorized official on file is Debra Wilson, Billing. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1205314754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2018 |
| Last updated in NPPES | Sep 1, 2020 |
| Certified by provider | Aug 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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